Healthcare Provider Details

I. General information

NPI: 1972248029
Provider Name (Legal Business Name): ALICE MARIE MURRAY APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6490 S MCCARRAN BLVD STE 43
RENO NV
89509-6126
US

IV. Provider business mailing address

6490 S MCCARRAN BLVD STE 43
RENO NV
89509-6126
US

V. Phone/Fax

Practice location:
  • Phone: 775-350-1881
  • Fax: 775-350-1881
Mailing address:
  • Phone: 775-350-1881
  • Fax: 775-350-1881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number851575
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: